Women are more susceptible to urinary tract infections during the last 3 months of pregnancy

This is an automatically translated article.

The article was consulted with Specialist Doctor II - Nguyen Thi Minh Tuyet - Head of Obstetrics and Gynecology Department - Vinmec Central Park International General Hospital.
Urinary tract infection is a common disease in women, affecting human health, especially women during pregnancy. Due to the weakened resistance, the urinary system of pregnant women can be infected.

1. Risk when pregnant women have urinary tract infections

During pregnancy, due to weakened resistance, any part of the urinary system of pregnant women can be infected. Pregnant women with urinary tract infections can cause premature delivery, miscarriage, neonatal infection... Therefore, pregnant women need to be diagnosed and treated early to avoid unpredictable complications.
In some severe cases, UTIs can occur in the kidneys, called acute pyelonephritis or nephritis.

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2. Why is the last 3 months of pregnancy prone to urinary tract infections?

In the third trimester of pregnancy, the mother's uterus often tends to tilt to the right, pressing on the ureter and right kidney, so it is easy to cause renal water retention and nephritis, making it difficult to control urination, causing stagnation of urine. create an ideal environment for bacteria to multiply and grow in the urinary tract, causing urinary tract infections.
Besides, women have the vagina and anus relatively close together and located on the same plane, so they are easily infected with diseases from one part to the other. The body temperature of pregnant women is also often higher than normal, the internal heat also causes burning, painful urination, and more susceptible to urinary tract infections.

Tại sao mang thai 3 tháng cuối dễ bị viêm đường tiết niệu?
Tại sao mang thai 3 tháng cuối dễ bị viêm đường tiết niệu?

3. Symptoms of urinary tract infection

Symptoms of urinary tract infection are mainly difficulty urinating, frequent urge to urinate but each time passing out very little, painful urination, burning pain, severe illness may urinate blood. Patients often experience pain, tension in the bladder, discomfort in the lower abdomen, fatigue, and restlessness. Urine in patients is often cloudy and pink (blood in the urine).
If the patient still has symptoms of back pain, nausea, fever, bacteria may have entered the kidney which is very dangerous, can cause kidney diseases such as nephritis, kidney failure... Patients should immediately go to the hospital for examination, testing and timely treatment.

4. Prevention of urinary tract infections for pregnant women


Để phòng tránh và phát hiện viêm đường tiết niệu sớm nhất, phụ nữ mang thai cần thường xuyên kiểm tra nước tiểu trong mỗi lần khám thai
Để phòng tránh và phát hiện viêm đường tiết niệu sớm nhất, phụ nữ mang thai cần thường xuyên kiểm tra nước tiểu trong mỗi lần khám thai
To prevent and detect UTIs at the earliest, pregnant women need to regularly check their urine at each prenatal visit
How to prevent disease To prevent and detect UTIs at the earliest, pregnant women Urine should be checked regularly at every prenatal visit, especially in the first stage of pregnancy. The mother should also add more water than usual, use more fruit juices that contain many healthy vitamins and have a diuretic effect. The amount of water needed by pregnant women during pregnancy is about 1.5-2 liters per day. When you want to urinate, you need to go immediately. Absolutely do not hold urine because it will cause stagnation of urine, affecting the kidneys, creating conditions for bacteria to grow, causing danger to the urinary tract. Pregnant women need to clean the body, proper hygiene to prevent disease-causing bacteria from entering and residing. Should clean the intimate area and anus with clean water after each cleaning. Thoroughly treat diseases such as vulvovaginitis, cervicitis to avoid spreading to the urinary tract. Treatment Measures If unfortunately pregnant women have the disease, for mild forms such as urinary tract infections or cystitis, pregnant women can treat at home according to the instructions of the doctor and need to be tested again later. for accurate results. For pyelonephritis, acute pyelonephritis, pregnant women need to be hospitalized for treatment according to the doctor's regimen, strictly follow the doctor's prescription, and avoid overusing antibiotics, which also have a negative effect on the health of the fetus. fetus. There should be obstetric care such as pregnancy check-ups, fetal heart monitoring...regularly. If there is a risk of miscarriage, use antispasmodic drugs as prescribed by a specialist.

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